Prosthetic Grafting and Arteriovenous Fistula for the Surgical Management of a Common Femoral Vein Injury Using a Staged Approach.
10.5090/kjtcs.2017.50.2.133
- Author:
Kuk Hui SON
1
;
So Young LEE
;
Jin Mo KANG
;
Chang Hu CHOI
;
Kook Yang PARK
;
Chul Hyun PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Korea. cdgpch@gilhospital.com
- Publication Type:Case Report
- Keywords:
Femoral vein;
Injuries;
Varicose veins;
Surgery, complications
- MeSH:
Adult;
Arteriovenous Fistula*;
Edema;
Embolization, Therapeutic;
Female;
Femoral Artery;
Femoral Vein*;
Fistula;
Humans;
Lower Extremity;
Phlebography;
Polytetrafluoroethylene;
Saphenous Vein;
Thigh;
Thrombosis;
Transplants*;
Varicose Veins;
Veins
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(2):133-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 27-year-old female patient was referred due to an edematous left lower extremity. Both saphenous veins had been ablated with an endovenous laser procedure used to treat varicose veins. Venography revealed that the left common femoral vein had been divided and that thrombosis was present at the site of division. No veins were available around the thighs. The patient was treated using a staged procedure. During the first stage, a ringed polytetrafluoroethylene graft was used to repair the common femoral vein, and an arteriovenous fistula was constructed from the femoral artery to the graft using a short segment of cephalic vein to increase graft patency. The edema was relieved postoperatively and the graft was patent. During the second stage, which was performed 6 months later, the fistula was occluded by coil embolization. The staged procedure described herein provides an alternative for venous reconstruction when autologous vein is unavailable.
